Clinical Responsibilities:
- Assists with the completion of the assessment process for patients
- Administer medications, observing the Seven Rights of medication administration
- Provide education regarding patient’s disease process.
- Provide medication education for the patient and family, including uses and potential side effects.
- Monitor patients for potential side effects of medications and reports findings to the physician.
- Provide direct patient care, evaluate outcomes, consult with other specialists as required and adjust nursing care processes as indicated to ensure optimal patient care.
- Accurately assign triage categories.
- Maintain accurate and continued nursing documentation including patient histories, conditions, treatments, responses, pain management and assessment of changes.
- Identify and address psychosocial, cultural, ethnic and religious/spiritual needs of patients and family.
- Communicate effectively with the physician regarding the patient’s physical and mental condition
- Administer medical and psychiatric screenings as needed (PHQ-2, UNCOPE, etc.)
- Complete nurse workup portion in NextGen
- Perform ancillary testing and tasks as ordered by presiding physician (i.e. PFT, EKG, injections, audiograms, etc.)
- Administer injections or treatments and performs routine laboratory tests.
- Provide support for medical assistants to assure conformance with established standards and procedural requirements.
- Respond to patients’ request for medication refills
- Interfaces with the multi-disciplinary team and actively and cooperatively participates in development of the interdisciplinary treatment plan
- Monitor laboratory results and reports all abnormal findings to the physician
- Provide emergency care as needed (CPR, MindSet, PRN medications), according to the Accordia Health Policy and Procedures
- Demonstrate the ability to recognize the elements of a crisis state and knows how to deescalate or resolve the situation
- Participate in general and medical staff meetings as required
- Educate the community and patients on health issues to increase health literacy
- May conduct infection control for staff and patients when indicated
- Perform related duties as assigned
- Effectively demonstrates the application of nursing competencies
- Adhere to professional code of ethics
Supervision and Consultation:
- Seek clinical supervision and consultation needs
- Accept and employs suggestions for improvement
- Actively work to enhance clinical skills
Clinical Record Keeping:
- Documents in a timely fashion per Accordia Health policy
- Documents in a clear, concise manner, types of patient problems, treatment goals and services provided
- Documentation shows that forms, notes, logs, and other applicable written information are completed promptly, accurately and updated when appropriate
- Document legibly
Courteous and respectful attitudes towards patients, visitors, and co-workers
- Treats patients with care, dignity and respect
- Respects patient’s privacy and confidentiality
- Assist patients and visitors as needed
- Promote a professional atmosphere
Administrative and Other related duties as Assigned:
- Actively participate in Performance Improvement activities
- Actively participate in Accordia Health committees as required
- Completes assigned tasks in a timely manner
- Access appropriate community resources according to patient needs
- Follow Accordia Health Policy & Procedures
- Maintains current State license and requirements for renewals (i.e. CEU’s), and attends to required in-services and workshops
Physical Requirements of the Job:
- There is frequent standing while getting files, paperwork, and handing out medication.
- Sitting is frequent by nature and up to 5-10 minutes; however, extended sitting could be up to 1.5 to 3 hours for documentation.
- Squatting and/or lunging frequently to stock supplies and retrieve needed material from file cabinets and book shelves.
- Fine manipulation for writing, handling paperwork, and dispensing medications to patients.
- Pushing and/or pulling force up to 1-5 pounds force, horizontally, to open file cabinets and place binders on book shelves.
- Lifting various ranges from the floor to overhead with weights up to 1-5 pounds frequently.
- Any other duties as assigned by supervisor